| NPI | 1982211702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.0016631) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178.016303) |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2025-01-06 |