| NPI | 1497325484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.013905) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL Xxxxxxxx) |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2024-08-16 |