| NPI | 1518335702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180-011715) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178.011243) |
| Enumeration Date | 2015-09-04 |
| Last Update Date | 2020-12-09 |