| NPI | 1396176087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: FL PMH1419) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180008714) |
| Enumeration Date | 2013-12-05 |
| Last Update Date | 2017-02-24 |