| NPI | 1912560780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 178.011426) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2019-04-17 |