| NPI | 1497234256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 6594-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.010488) |
| Enumeration Date | 2018-08-12 |
| Last Update Date | 2018-08-12 |