| NPI | 1093143786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 007198-1) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.007271) |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2016-11-28 |