| NPI | 1053462952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 178994736) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 178004736) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2012-03-08 |