| NPI | 1467503789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YS0200X Counselor, School (Licence: IL 180001425) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180001425) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2011-10-29 |