| NPI | 1679039481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.012050) |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| Enumeration Date | 2019-02-17 |
| Last Update Date | 2019-02-17 |