| NPI | 1669870838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO LPC.0013044) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 178006517) |
| Enumeration Date | 2014-12-19 |
| Last Update Date | 2023-11-29 |