| NPI | 1548813140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178003036) |
| 163W00000X Registered Nurse (Licence: IL 041378769) | |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2019-07-23 |