| NPI | 1104936327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180006256) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041232439) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |