| NPI | 1912183898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39004048A) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.005870) |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2021-12-09 |