| NPI | 1588775332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180006144) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60227172) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2012-10-11 |