| NPI | 1700357738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2022042109) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180013181) |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2023-12-11 |