| NPI | 1144767161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IL 178.012006) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: IL 00119046) |
| Enumeration Date | 2017-01-28 |
| Last Update Date | 2017-01-28 |