| NPI | 1922467950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180.011379) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 178.011594) |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2018-10-09 |