| NPI | 1558873851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH15364) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180010437) |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2017-10-26 |