| NPI | 1235248915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180-004936) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041-245435) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2007-07-08 |