| NPI | 1891017943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-18193) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180.007018) |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2023-02-23 |