| NPI | 1548675382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IL 180010188) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IL 178.009341) |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2016-08-05 |