| NPI | 1659821015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180010599) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178012022) |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2021-06-30 |