| NPI | 1821542309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IL 041.097545) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IA 066429) |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2016-08-12 |