| NPI | 1376032391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.013426) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.013782) |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2023-04-02 |