| NPI | 1972952315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0013713) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.011800) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2018-01-31 |