| NPI | 1336554179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180010472) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional (Licence: IL 178.010022) | |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2023-12-13 |