| NPI | 1750029682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IL 22-203575) |
| Enumeration Date | 2022-05-20 |
| Last Update Date | 2022-11-29 |