| NPI | 1073926168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 7335-125) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IL 180.010742) |
| 174400000X Specialist (Licence: IL 00117435) | |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2019-05-07 |