| NPI | 1861628679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.007620) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.005542) |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2016-01-01 |