| NPI | 1902126139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180008083) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178006174) |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2012-01-27 |