| NPI | 1811409055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TN 4084) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 178.005740) |
| Enumeration Date | 2017-10-27 |
| Last Update Date | 2018-12-06 |