| NPI | 1316054653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IL 18000101010) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 18000101010) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2007-07-08 |