| NPI | 1588948236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.013702) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.005956) |
| Enumeration Date | 2011-09-29 |
| Last Update Date | 2022-03-10 |