| NPI | 1710242532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LAC-20665) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.006898) |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2024-08-20 |