| NPI | 1467042432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.015353) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.016287) |
| Enumeration Date | 2021-01-22 |
| Last Update Date | 2023-10-03 |