| NPI | 1659620458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180009706) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.008309) |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2015-05-18 |