| NPI | 1710245188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.011147) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178007698) |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2021-11-30 |