| NPI | 1437457991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401015865) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.006979) |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2024-01-26 |