| NPI | 1326242025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0011278) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178005010) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2013-03-24 |