| NPI | 1336682210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IL 178010863) |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital (Licence: IL 178010863) |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2016-11-28 |