| NPI | 1780214759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.014123) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.015166) |
| Enumeration Date | 2020-01-18 |
| Last Update Date | 2022-02-10 |