| NPI | 1811510738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.015256) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.016224) |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2023-10-09 |