| NPI | 1720414055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.008718) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.007475) |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2022-01-26 |