| NPI | 1972935690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180008721) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MI 6401223350) |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2024-03-04 |