| NPI | 1548671506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IL 178.008741) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178008741) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2021-02-01 |