| NPI | 1740858273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 178021594) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CO LPCC.0020757) |
| Enumeration Date | 2021-06-11 |
| Last Update Date | 2025-08-07 |