| NPI | 1396238242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180012644) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.013798) |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2021-08-16 |