| NPI | 1518446574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180013847) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.013627) |
| Enumeration Date | 2018-08-10 |
| Last Update Date | 2025-11-04 |