| NPI | 1467733311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 2018029026) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180007619) |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2019-10-09 |