| NPI | 1154714707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180011249) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178006542) |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2019-01-14 |