| NPI | 1487333498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.018061) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401226114) |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2026-03-27 |