| NPI | 1407414212 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178.013984) | 
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: IL 1132549) | 
| Enumeration Date | 2019-06-05 | 
| Last Update Date | 2019-06-05 |