| NPI | 1518992999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 041211621) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 209003007) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2013-05-29 |