| NPI | 1336385103 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180011432) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| 174400000X Specialist | |
| 174H00000X Health Educator | |
| Enumeration Date | 2008-12-30 | 
| Last Update Date | 2018-05-23 |