| NPI | 1982039921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.011521) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2016032485) |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2022-09-28 |