| NPI | 1801213319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180009225) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178008537) |
| Enumeration Date | 2014-03-21 |
| Last Update Date | 2015-12-29 |