| NPI | 1255899290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180017341) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C8909) |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2025-08-22 |