| NPI | 1255966537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.015156) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.015768) |
| Enumeration Date | 2020-03-07 |
| Last Update Date | 2024-05-03 |