| NPI | 1316213630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180008565) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178.004832) |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2013-03-25 |