| NPI | 1275796005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.006539) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180.0006539) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2020-07-21 |