| NPI | 1053863647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180014630) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178012379) |
| 101YP2500X Counselor, Professional (Licence: IL 180014630) | |
| Enumeration Date | 2016-10-29 |
| Last Update Date | 2025-01-25 |