| NPI | 1396167201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180011275) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178.009685) |
| Enumeration Date | 2014-01-11 |
| Last Update Date | 2018-07-14 |