| NPI | 1194376301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 178015197) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180.016126) |
| Enumeration Date | 2019-09-28 |
| Last Update Date | 2025-04-04 |