| NPI | 1407190689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IL 178.013023) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL g41650188781) |
| Enumeration Date | 2012-11-12 |
| Last Update Date | 2020-10-22 |