| NPI | 1710707658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 178.021901) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: IL 041425548) |
| Enumeration Date | 2024-10-15 |
| Last Update Date | 2025-08-15 |