| NPI | 1669165486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.015402) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.016531) |
| Enumeration Date | 2023-05-29 |
| Last Update Date | 2024-10-30 |