| NPI | 1902177744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 9581) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178006731) |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2012-10-15 |