| NPI | 1063560100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL SW13074) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 149003493) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-26 |