| NPI | 1144559014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: 180013025) |
| 101YM0800X Counselor, Mental Health (Licence: IL m65043384798) | |
| Enumeration Date | 2009-12-23 |
| Last Update Date | 2021-07-26 |