| NPI | 1184074551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.013583) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178010894) |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2024-06-28 |