| NPI | 1679087340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180006246) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: 180006246) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2017-11-16 |