| NPI | 1063485993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 2132) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180005274) |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2020-08-13 |