| NPI | 1467853457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 180.009271) |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2017-11-07 |