| NPI | 1811266844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: LA 1058) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 00013130) |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2011-12-20 |