| NPI | 1821287558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.010929) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178-000371) |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2023-05-19 |