| NPI | 1114696762 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.020239) |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2024-06-03 |