| NPI | 1093059081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180004976) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TS0200X Psychologist, School (Licence: IL 2149481) | |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |