| NPI | 1821252818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180007446) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 219858) |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2018-03-17 |