| NPI | 1104028166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178003545) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.008273) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2012-11-02 |