| NPI | 1174641286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180008568) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IL 178004009) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2013-08-16 |