| NPI | 1376840025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IN 39002930A) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 178006367) |
| Enumeration Date | 2011-02-15 |
| Last Update Date | 2020-03-20 |