| NPI | 1881229854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC22850) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.014070) |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2024-11-22 |