| NPI | 1528450467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH16315) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 180.009471) |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2018-10-03 |