| NPI | 1750838389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.013133) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2023-01-09 |