| NPI | 1972686830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.002298) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 3477) |
| 101YP2500X Counselor, Professional (Licence: NE 1746) | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2014-10-27 |