| NPI | 1487942454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180.008127) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 178.006285) |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2014-12-10 |