| NPI | 1760912414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180013836) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.012739) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2022-04-05 |