| NPI | 1396523536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 178.019182) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178.019182) |
| Enumeration Date | 2023-09-19 |
| Last Update Date | 2026-04-30 |