| NPI | 1447630769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.011057) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.010817) |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2017-08-18 |