| NPI | 1568814895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.012513) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.011376) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2022-10-17 |