| NPI | 1578122396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180016908) |
| 101YP2500X Counselor, Professional (Licence: IL 178.017067) | |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2025-04-04 |