| NPI | 1619248580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IL 178.007890) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 178007890) |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2012-05-31 |