| NPI | 1790231538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 178.010899) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 180.013120) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2020-08-31 |