| NPI | 1760774509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180007642) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AK 691) |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2013-07-30 |