| NPI | 1023102563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 5291-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180-005337) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2014-04-29 |