| NPI | 1184852121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 178003657) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 180006550) |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2010-03-29 |