| NPI | 1790472413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.015248) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.015979) |
| Enumeration Date | 2023-04-21 |
| Last Update Date | 2024-01-16 |