| NPI | 1629641956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.019923) |
| Enumeration Date | 2021-07-23 |
| Last Update Date | 2024-04-04 |