| NPI | 1407375272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.012850) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2020-03-24 |