| NPI | 1548881543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180.015062) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 178015576) |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2023-03-14 |