| NPI | 1558421438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 178.0017123) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: IL 016004669) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2022-02-16 |