| NPI | 1245393677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.007648) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178-004532) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2019-05-29 |