| NPI | 1316281777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IL 180010232) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IL 178008478) |
| 246QM0706X Specialist/Technologist, Pathology Medical Technologist (Licence: IL 145265) | |
| Enumeration Date | 2012-11-24 |
| Last Update Date | 2016-05-07 |