| NPI | 1861779217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.010359) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178009449) |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2016-06-21 |