| NPI | 1528724044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LGP13846) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.017315) |
| Enumeration Date | 2021-11-09 |
| Last Update Date | 2024-08-09 |