| NPI | 1124480025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 079684) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178008979) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2018-07-17 |