| NPI | 1669777611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WI 5152-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180007572) |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2023-10-23 |