| NPI | 1619427259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IL 180.010479) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.010479) |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2016-10-06 |