| NPI | 1235446949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180008386) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178006852) |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2012-12-11 |