| NPI | 1407092133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 143) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180008811) |
| 101YM0800X Counselor, Mental Health (Licence: FL MH12727) | |
| Enumeration Date | 2008-12-30 |
| Last Update Date | 2017-05-12 |