| NPI | 1770271082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IL 178.018929) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178.018929) |
| Enumeration Date | 2023-04-25 |
| Last Update Date | 2023-04-25 |