| NPI | 1457829467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180015498) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AZ LPC-23306) |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2025-06-05 |