| NPI | 1679706154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.008282) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.006452) |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2012-07-11 |