| NPI | 1962068957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180.012263) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 178011578) |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2019-05-20 |