| NPI | 1457810541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.012214) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178012986) |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2019-06-26 |