| NPI | 1962077743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.015489) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.016878) |
| Enumeration Date | 2021-05-24 |
| Last Update Date | 2023-10-31 |