| NPI | 1700411782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 178017719) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional (Licence: IL 178017719) | |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2023-09-12 |