| NPI | 1477690485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.008615) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 001231) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2016-01-08 |