| NPI | 1568829836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180.011254) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178.011411) |
| Enumeration Date | 2016-01-18 |
| Last Update Date | 2018-03-28 |