| NPI | 1457499022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 178004743) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: WI 3755-125) |
| Enumeration Date | 2007-02-03 |
| Last Update Date | 2023-08-26 |