| NPI | 1386991560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 1800075791) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: IL 2442773) |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2012-08-07 |