| NPI | 1518402619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IL 180.010500) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: IL 00119498) |
| Enumeration Date | 2016-12-27 |
| Last Update Date | 2016-12-27 |