| NPI | 1407086192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.007361) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178.003775) |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2015-11-30 |