| NPI | 1427059476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39004182A) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.006909) |
| 101YP2500X Counselor, Professional (Licence: IL 178004427) | |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2018-01-02 |