| NPI | 1588711790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 149.014777) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DE Q1-0000434) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2011-11-03 |