| NPI | 1255729257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180.008085) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 11-105) |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2015-04-22 |