| NPI | 1205482379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.012302) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.012600) |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2024-02-05 |