| NPI | 1528571718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.0132350) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.013212) |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2022-01-31 |