| NPI | 1578185856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MO 2017025360) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178.010125) |
| Enumeration Date | 2020-05-10 |
| Last Update Date | 2020-05-10 |