| NPI | 1639663016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178008081) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39003572A) |
| 101YM0800X Counselor, Mental Health (Licence: IL 180.012278) | |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2019-09-27 |