| NPI | 1962515718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39002501A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180004946) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2016-03-24 |