| NPI | 1184911604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 178.017313) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2023-03-27 |