| NPI | 1013114875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180.008593) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2013-06-06 |