| NPI | 1063771459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39002547A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.006853) |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2020-08-27 |