| NPI | 1982711990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401015611) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180-004764) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2022-12-08 |