| NPI | 1578113551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180008188) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YS0200X Counselor, School (Licence: IL 1992912) | |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2019-09-12 |