| NPI | 1861936387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178.012602) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: 180.012004) |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2023-07-27 |