| NPI | 1467918037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180013466) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IL 178.012809) |
| Enumeration Date | 2019-02-19 |
| Last Update Date | 2021-04-21 |