| NPI | 1720869506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.016513) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.016807) |
| Enumeration Date | 2023-10-09 |
| Last Update Date | 2024-10-30 |