| NPI | 1427225960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IL 180004578) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 180004578) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2010-09-21 |