| NPI | 1902086739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180004548) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 180.004548) |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2020-03-11 |