| NPI | 1629583430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178.012423) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180011594) |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2018-06-28 |