| NPI | 1689253999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: IL 043129978) |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2021-04-05 |