| NPI | 1760856132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180.012124) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 178.011475) |
| Enumeration Date | 2015-11-22 |
| Last Update Date | 2022-08-02 |