| NPI | 1902055338 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180012007) | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2008018987) | 
| Enumeration Date | 2008-09-10 | 
| Last Update Date | 2022-10-21 |