| NPI | 1699197020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180009673) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178009300) |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2019-01-14 |