| NPI | 1235779208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IL 180.013339) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178.015341) |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2025-03-31 |