| NPI | 1306210695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0013863) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.011801) |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2019-10-15 |