| NPI | 1508084252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180007244) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178004273) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2009-08-11 |