| NPI | 1730698564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.012078) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.008579) |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2023-07-03 |