| NPI | 1407270275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.010363) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.008091) |
| Enumeration Date | 2014-02-13 |
| Last Update Date | 2022-11-21 |