| NPI | 1093472755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IL 180014413) |
| 101YP2500X Counselor Professional (Licence: IL 180014413) | |
| Enumeration Date | 2021-11-17 |
| Last Update Date | 2024-11-06 |