| NPI | 1770189912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178.013020) |
| 101YS0200X Counselor, School (Licence: CO 199241) | |
| Enumeration Date | 2020-12-10 |
| Last Update Date | 2020-12-10 |