| NPI | 1164844288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IL 180.009248) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IL 178.003362) |
| Enumeration Date | 2014-01-08 |
| Last Update Date | 2017-12-20 |