| NPI | 1871819706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39003547A) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional (Licence: IL 180.012089) | |
| Enumeration Date | 2010-04-16 |
| Last Update Date | 2019-06-06 |