| NPI | 1124410147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 178.010767) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 180.011276) |
| Enumeration Date | 2015-02-27 |
| Last Update Date | 2017-11-29 |