| NPI | 1376891424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180012221) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 5792) |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2025-03-28 |