| NPI | 1700088440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180006856) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 180.006856) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2019-10-11 |