| NPI | 1558003301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IL 178.015951) |
| Additional Taxonomies | 101YS0200X Counselor School (Licence: IL 2300737) |
| Enumeration Date | 2022-04-12 |
| Last Update Date | 2022-04-12 |