| NPI | 1659068369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IL 178.019579) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2023-04-21 |
| Last Update Date | 2023-12-06 |