| NPI | 1174706022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: FL MH8595) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 180001969) |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2007-12-14 |