| NPI | 1558502500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YS0200X Counselor, School (Licence: IL 2336390) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: OH OH1251267) |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2009-03-19 |