| NPI | 1639768161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180013498) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178014994) |
| Enumeration Date | 2021-01-11 |
| Last Update Date | 2021-05-04 |