| NPI | 1982821989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180-000208LCPC) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180000208) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2010-10-01 |