| NPI | 1750705810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.011183) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.009675) |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2022-07-22 |