| NPI | 1619051299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 149.013244) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 150-010270) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2017-01-27 |