| NPI | 1245221043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39001619A) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180-005554) |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2010-06-01 |