| NPI | 1407515919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.015348) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.016294) |
| Enumeration Date | 2021-12-12 |
| Last Update Date | 2023-07-11 |