| NPI | 1073064911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178011343) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 329543) |
| Enumeration Date | 2016-10-15 |
| Last Update Date | 2017-01-30 |