| NPI | 1104360080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180011597) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178-009299) |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2019-11-12 |