| NPI | 1508277732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IL 180008758) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 180008758) |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2024-02-28 |