| NPI | 1710405790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.011682) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178011422) |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2023-01-22 |