| NPI | 1821453622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IL 180.010041) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.010041) |
| Enumeration Date | 2015-12-21 |
| Last Update Date | 2019-11-14 |