| NPI | 1548705122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IL 180012330) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IL 1780811569) |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2023-03-22 |