| NPI | 1003525296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 178.015040) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.016266) |
| Enumeration Date | 2022-11-16 |
| Last Update Date | 2024-10-07 |