| NPI | 1609215110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IL 180008676) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 180008676) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2016-04-20 |