| NPI | 1649836362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180013101) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178.013548) |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2020-08-24 |