| NPI | 1134351554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 00079107) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA CI 4098) |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2009-08-18 |