| NPI | 1952622078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C2940) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180007585) |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2025-11-18 |