| NPI | 1619510757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180014238) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 1096922) |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2022-02-06 |