| NPI | 1750634358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180007897) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.007897) |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2020-01-30 |