| NPI | 1144578519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178006022) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2012027779) |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2012-08-16 |