| NPI | 1861895864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IL 180.013888) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 180.013888) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2023-11-13 |