| NPI | 1801176599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 178006363) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IL 178006363) |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2012-08-06 |