| NPI | 1104313071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39003268A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180015611) |
| 101YP2500X Counselor, Professional (Licence: IN 39003268A) | |
| 101YP2500X Counselor, Professional (Licence: IL 180015611) | |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2024-01-19 |