| NPI | 1396247326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401016531) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180012541) |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2021-10-04 |