| NPI | 1568921377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.012852) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.012224) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2023-11-20 |