| NPI | 1720361181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL PMH1048) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180007100) |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2012-09-07 |