| NPI | 1902489552 |
|---|---|
| Former Name | GRACE LETHIOT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.014034) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.016306) |
| Enumeration Date | 2021-05-02 |
| Last Update Date | 2022-07-14 |