| NPI | 1023433489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180.009006) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IL 180009006) |
| Enumeration Date | 2014-02-21 |
| Last Update Date | 2014-04-23 |