| NPI | 1225121353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180004361) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS LCPC03478) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2023-06-27 |