| NPI | 1972050813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.013814) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.011617) |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2022-01-10 |