| NPI | 1639636889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.013891) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.014631) |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2022-11-11 |