| NPI | 1770102477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.013011) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.012966) |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2021-09-28 |