| NPI | 1982933990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.007864) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 180.007864) |
| Enumeration Date | 2009-12-22 |
| Last Update Date | 2012-06-13 |