| NPI | 1861898504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0013771) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178009614) |
| Enumeration Date | 2014-11-07 |
| Last Update Date | 2014-11-07 |