| NPI | 1528314135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 5515) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180013067) |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2024-09-12 |