| NPI | 1962949180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.012222) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178011197) |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2019-05-08 |