| NPI | 1477820249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180008607) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.006994) |
| Enumeration Date | 2011-11-22 |
| Last Update Date | 2019-03-12 |