| NPI | 1114240108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180012571) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.006325) |
| Enumeration Date | 2010-03-05 |
| Last Update Date | 2022-05-09 |