| NPI | 1144620139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180013175) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39004205A) |
| 101YM0800X Counselor, Mental Health (Licence: IL 178.012205) | |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2022-06-23 |