| NPI | 1396023396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 4726) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.007010) |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2018-03-17 |