| NPI | 1962876235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180012789) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178007451) |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2020-10-05 |