| NPI | 1689012668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.009732) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.008587) |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2021-08-10 |