| NPI | 1912274374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180004662) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: IL 00038190) |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2012-01-09 |