| NPI | 1710313614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180009396) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.008527) |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2016-11-04 |