| NPI | 1285793463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39001657A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180.006784) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-02-13 |