| NPI | 1679040141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180011953) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178011951) |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2022-08-23 |