| NPI | 1265023352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 11161-125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 18015956) |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2024-11-25 |