| NPI | 1740771781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.012046) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.021888) |
| Enumeration Date | 2018-05-25 |
| Last Update Date | 2019-03-06 |