| NPI | 1366952764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 178011670) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180012915) |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2020-07-21 |