| NPI | 1821346388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IL 180.008096) |
| Additional Taxonomies | 101YS0200X Counselor School (Licence: IL 2346914) |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2013-02-27 |