| NPI | 1639953151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.016420) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.019285) |
| Enumeration Date | 2023-08-24 |
| Last Update Date | 2024-09-30 |