| NPI | 1780410803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 178.020569) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LAC-20782) |
| Enumeration Date | 2024-09-13 |
| Last Update Date | 2024-09-13 |