| NPI | 1710460332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 16331) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.009097) |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2025-04-02 |