| NPI | 1912477571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 11112) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: IL 00118413) |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2018-11-27 |