| NPI | 1770850844 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101Y00000X Counselor (Licence: IL 180009240) | 
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178007666) | 
| Enumeration Date | 2011-11-17 | 
| Last Update Date | 2014-10-09 |