| NPI | 1871716977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IL 178.017681) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OK none) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2021-12-22 |