| NPI | 1679949713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 6616-125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180009800) |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2022-09-15 |