| NPI | 1235531286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 178009225) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 1406) |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2019-07-16 |