| NPI | 1336716307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 093516) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180012053) |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2025-12-03 |