| NPI | 1851406482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39000077A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180-001041) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2014-09-08 |