| NPI | 1790249290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.012285) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.013086) |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2019-07-28 |