| NPI | 1972864254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.009176) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.008018) |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2023-04-05 |