| NPI | 1700159316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180009304) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178-007557) |
| Enumeration Date | 2012-02-13 |
| Last Update Date | 2022-11-04 |