| NPI | 1245622794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.014026) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.010464) |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2022-04-11 |