| NPI | 1275016727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180013520) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 20775) |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2026-07-31 |