| NPI | 1275675274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH13968) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 180003448) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2016-11-04 |