| NPI | 1356886139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 13005) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.010862) |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2020-03-16 |