| NPI | 1912795352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IL 180015814) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2018033173) |
| 101YP2500X Counselor, Professional (Licence: MO 2018033173) | |
| 101YP2500X Counselor, Professional (Licence: IL 180015814) | |
| Enumeration Date | 2025-04-26 |
| Last Update Date | 2025-04-26 |