| NPI | 1811234685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH22132) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180007254) |
| Enumeration Date | 2013-01-13 |
| Last Update Date | 2025-01-17 |