| NPI | 1659911352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.012619) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401004294) |
| Enumeration Date | 2020-01-10 |
| Last Update Date | 2020-01-10 |