| NPI | 1376014613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.013376) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.014405) |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2021-02-09 |