| NPI | 1376912345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.012023) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178011318) |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2019-01-17 |