| NPI | 1588446033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 149.031058) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.111883) |
| Enumeration Date | 2023-10-19 |
| Last Update Date | 2026-01-29 |