| NPI | 1124485115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178.010226) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 300175) |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2016-01-21 |