| NPI | 1174932057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IL 180010272) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 178.010047) |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2022-07-21 |