| NPI | 1275983140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39004238A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.010290) |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2023-01-24 |