| NPI | 1558700096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IL 180.008692) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.008692) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2020-01-23 |