| NPI | 1548634843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.011225) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2023-04-06 |