| NPI | 1861892374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IL 180010755) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2014022243) |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2017-04-05 |