| NPI | 1356796189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.012084) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.011956) |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2024-01-04 |