| NPI | 1992194724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178.008420) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 10469) |
| Enumeration Date | 2015-01-16 |
| Last Update Date | 2017-07-12 |