NPI | 1255051892 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.016678) |
Additional Taxonomies | 103TR0400X Psychologist, Rehabilitation (Licence: IL 596721) |
Enumeration Date | 2022-09-01 |
Last Update Date | 2025-01-29 |