| NPI | 1710930847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180006979) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 178-004087) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2008-08-14 |