| NPI | 1851808240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.013805) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 0017642) |
| Enumeration Date | 2018-01-07 |
| Last Update Date | 2023-03-29 |