| NPI | 1649625195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MI 6401222614) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 178010579) |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2023-03-14 |