| NPI | 1730861519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0019744) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180010566) |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2023-12-01 |