| NPI | 1497275549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MI 6401018898) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 178013103) |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2021-05-04 |