| NPI | 1477839629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.014033) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC5558) |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2022-07-14 |