| NPI | 1215404918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.013536) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.014245) |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2021-04-30 |