| NPI | 1629617071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180014462) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 15243) |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2025-12-22 |