| NPI | 1356908743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IL 180.015129) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IL 178014917) |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2023-05-04 |