| NPI | 1649331513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180000419) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 180000419) |
| 101YP2500X Counselor, Professional (Licence: IL 180000419) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2025-09-11 |