| NPI | 1508459470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 3752) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180013341) |
| Enumeration Date | 2021-02-11 |
| Last Update Date | 2024-08-29 |