| NPI | 1538407069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IL 180.007844) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180.007844) |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2019-11-14 |