| NPI | 1588026066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 21535875) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 1800088084) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2021-12-17 |