| NPI | 1518765585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IL 178.021360) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 178.021360) |
| Enumeration Date | 2025-03-05 |
| Last Update Date | 2025-07-14 |