| NPI | 1700476355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.014510) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178010028) |
| Enumeration Date | 2021-01-19 |
| Last Update Date | 2023-01-10 |