| NPI | 1063818649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180010087) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.009703) |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2016-11-05 |