| NPI | 1689685364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 2994125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180002900) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2020-02-10 |