| NPI | 1780120352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.011595) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178010371) |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2018-06-26 |