| NPI | 1104216704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.008375) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2018-04-17 |