| NPI | 1558961318 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101Y00000X Counselor (Licence: IL 178.007694)  | 
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: IL 2382781)  | 
| Enumeration Date | 2020-10-29 | 
| Last Update Date | 2020-10-29 |