| NPI | 1225620289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.014167) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.015976) |
| Enumeration Date | 2021-02-10 |
| Last Update Date | 2022-03-03 |