| NPI | 1992411086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.015076) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.015829) |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2023-03-08 |