| NPI | 1811282353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180009019) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.006935) |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2015-01-30 |