| NPI | 1770198178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180015110) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178016274) |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2023-03-24 |