| NPI | 1124265392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 001392) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 180007087) |
| Enumeration Date | 2009-01-09 |
| Last Update Date | 2024-01-06 |