| NPI | 1659436459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC11187) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180005880) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2014-06-11 |