| NPI | 1770968836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.013278) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.010882) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2021-01-05 |