| NPI | 1750099339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180016559) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178017483) |
| 101YM0800X Counselor, Mental Health (Licence: IL 180.016559) | |
| Enumeration Date | 2022-11-11 |
| Last Update Date | 2025-05-13 |