| NPI | 1700353679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IL 180.011860) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.011860) |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2020-01-03 |