| NPI | 1417229659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180008889) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 0050391) |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2014-02-25 |