| NPI | 1023183860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: IL 0041-306058) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180-002949) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2010-08-12 |