| NPI | 1760826192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180010133) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.008954) |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2021-02-07 |