| NPI | 1306303599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.012091) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.011713) |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2019-03-28 |