| NPI | 1811164783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 149001506) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6801089767) |
| Enumeration Date | 2008-05-10 |
| Last Update Date | 2015-09-01 |