| NPI | 1316227440 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180007960)  | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180007960)  | 
| Enumeration Date | 2011-08-20 | 
| Last Update Date | 2023-12-27 |