| NPI | 1497360770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2019023835) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178014515) |
| Enumeration Date | 2020-09-13 |
| Last Update Date | 2020-09-13 |