| NPI | 1497938872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MT 7401) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IL 180000937) |
| Enumeration Date | 2007-12-09 |
| Last Update Date | 2014-04-16 |