| NPI | 1528537255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.011100) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 180.011100) |
| 101YP2500X Counselor, Professional (Licence: CT 001939) | |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2021-02-24 |