| NPI | 1619603651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.015788) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.013749) |
| Enumeration Date | 2022-07-30 |
| Last Update Date | 2025-07-30 |