| NPI | 1629532486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180.014889) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 178.013969) |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2023-11-11 |