| NPI | 1558754291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180.010321) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 178.010476) |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2016-06-16 |