| NPI | 1376912675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178011115) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 1800011177) |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2017-09-26 |