| NPI | 1568003531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180012455) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39003089A) |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2019-10-01 |