| NPI | 1063529147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ 5439T) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 108005379) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2013-06-11 |