| NPI | 1629317524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IL 180008435) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IL 178007256) |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2013-02-12 |