| NPI | 1194013771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180007942) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 178007168) |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2014-08-27 |