| NPI | 1184063992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: GA LPC011111) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IL 180009609) |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2021-06-01 |