| NPI | 1538607627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IL 180011971) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 180011971) |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2020-06-09 |