| NPI | 1376079871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180012516) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.013040) |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2025-04-02 |