| NPI | 1649822248 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.013895)  | 
| Additional Taxonomies | 101YP2500X Counselor, Professional | 
| 101YS0200X Counselor, School (Licence: IL 1182441)  | |
| Enumeration Date | 2019-07-12 | 
| Last Update Date | 2021-09-17 |