| NPI | 1588993935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180008534) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.006328) |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2014-08-14 |