| NPI | 1922680313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401222979) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 180.011896) |
| 101YP2500X Counselor, Professional (Licence: IL 180.011896) | |
| Enumeration Date | 2021-04-25 |
| Last Update Date | 2024-01-03 |