| NPI | 1558506766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180.007863) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 178005795) |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2020-08-14 |