| NPI | 1366730608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.008120) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN 2741) |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2018-03-19 |