| NPI | 1154721579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180010200) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IL 180010200) |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2024-03-07 |