| NPI | 1831565290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 078821) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 149019131) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2023-05-16 |