| NPI | 1073869921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 5628763) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2011039320) |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2012-07-30 |