| NPI | 1629482484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IL 180.009155) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180.001955) |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2019-11-14 |