| NPI | 1851708994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C10035) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180012189) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2025-11-17 |