| NPI | 1336878305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.017278) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178.017847) |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2025-07-08 |