| NPI | 1508960089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 4774) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180006140) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2011-12-31 |