| NPI | 1902448194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180.014641) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 178.015211) |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2022-08-15 |