| NPI | 1205223229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 075982) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180007467) |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2026-03-05 |