| NPI | 1558890566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.011042) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178009780) |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2017-06-19 |