| NPI | 1306005269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 5674) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178004774) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2014-04-23 |