| NPI | 1497966717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180005286) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041260628) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2007-07-08 |