| NPI | 1134627664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178.013299) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: IL 178.013299) |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2025-06-16 |