| NPI | 1437678927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178013792) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 640106547) |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2018-07-18 |