| NPI | 1710513486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.014545) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.014788) |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2023-02-28 |