| NPI | 1770053738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180011869) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178010716) |
| Enumeration Date | 2018-12-03 |
| Last Update Date | 2018-12-03 |