| NPI | 1073242038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.016693) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 101YP2500X Counselor, Professional (Licence: IL 178.019171) | |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2025-01-21 |