| NPI | 1649936949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.016564) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.017602) |
| Enumeration Date | 2021-11-10 |
| Last Update Date | 2024-11-20 |