| NPI | 1740797778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.013270) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: 178.013577) |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2020-12-22 |