| NPI | 1316652258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IL 178018711) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 180.015726) |
| Enumeration Date | 2023-01-16 |
| Last Update Date | 2024-01-26 |