| NPI | 1649419706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 178018798) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA 2737) |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2024-01-11 |