| NPI | 1295278760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IL 180012233) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178012467) |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2019-07-16 |