| NPI | 1730452178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IL 180.009109) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IL 178-007645) |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2021-12-06 |