| NPI | 1063153708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.016651) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2025-01-08 |