| NPI | 1891075149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180012013) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA 279884) |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2021-09-01 |