| NPI | 1104282151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178.002935) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: IL 2074546) |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2016-01-06 |