| NPI | 1073853024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39002692A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180.009603) |
| 101YM0800X Counselor, Mental Health (Licence: MI 6401017440) | |
| Enumeration Date | 2013-02-27 |
| Last Update Date | 2021-04-16 |