| NPI | 1871012880 |
|---|---|
| Former Name | VILMA GARDNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.0011486) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178.007419) |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2022-07-21 |