| NPI | 1356794184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.010547) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.009952) |
| Enumeration Date | 2016-07-17 |
| Last Update Date | 2016-09-15 |