| NPI | 1932792397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180015566) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 178016443) |
| Enumeration Date | 2021-02-17 |
| Last Update Date | 2023-12-09 |