| NPI | 1376082107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180.012188) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 178.012597) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2019-04-24 |