| NPI | 1609418607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180011350) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180011350) |
| 101YP2500X Counselor, Professional (Licence: IL 1800011350) | |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2022-02-25 |