| NPI | 1134521511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ 18806) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180010456) |
| 101YM0800X Counselor, Mental Health (Licence: MI 6401223334) | |
| 101YM0800X Counselor, Mental Health (Licence: IL 178.007450) | |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2023-11-25 |