| NPI | 1619597275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.015259) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.014145) |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2023-10-12 |