| NPI | 1790194199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IA 075366) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180008577) |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2022-08-24 |