| NPI | 1609329523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IL 149018665) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2011024677) |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2017-04-05 |