| NPI | 1326332818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.008746) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.006491) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2015-05-29 |