| NPI | 1902226426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 5285125) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 178005970) |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2016-10-10 |