| NPI | 1487898870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: IL 043024214) |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2009-04-29 |