| NPI | 1619108750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180007305) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180007305) |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2009-11-06 |