| NPI | 1588296800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180013722) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178014512) |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2024-01-03 |