| NPI | 1689111924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180012653) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178008624) |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2022-03-31 |