| NPI | 1760926802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.012819) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178.012546) |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2021-01-28 |