| NPI | 1184376063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180015130) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178012892) |
| Enumeration Date | 2022-01-22 |
| Last Update Date | 2024-01-10 |