| NPI | 1376645630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180006512) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178-003661) |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2022-05-18 |