| NPI | 1457192569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 178018856) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 178.018856) |
| Enumeration Date | 2024-06-03 |
| Last Update Date | 2024-06-03 |