| NPI | 1770941700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180011977) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178011673) |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2019-01-02 |