| NPI | 1043612385 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39003788A)  | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178008232)  | 
| Enumeration Date | 2014-09-18 | 
| Last Update Date | 2020-10-01 |