| NPI | 1225667728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 178.015370) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401018541) |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2020-10-07 |