| NPI | 1124347570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.009529) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.006637) |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2019-02-06 |