| NPI | 1912452988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180.012160) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178010926) |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2019-04-30 |