| NPI | 1558939355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.013709) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.014860) |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2022-09-11 |