| NPI | 1255982401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 88000727A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178014348) |
| 101YM0800X Counselor, Mental Health (Licence: IL 180013793) | |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2021-09-08 |