| NPI | 1558833178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.011849) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: IL 2329731) |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2018-12-20 |