| NPI | 1225781388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.015261) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178013288) |
| Enumeration Date | 2022-01-30 |
| Last Update Date | 2024-07-23 |