| NPI | 1972984219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.012121) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.009220) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2019-08-08 |