| NPI | 1295275097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH17599) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180010802) |
| 101YM0800X Counselor, Mental Health (Licence: IL 178011935) | |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2020-03-03 |