| NPI | 1942489711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180007408) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.004603) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2010-10-13 |