| NPI | 1205154143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 1010947068) |
| Enumeration Date | 2010-05-15 |
| Last Update Date | 2020-04-21 |