NPI | 1831808096 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 178020623) |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: IL 1276565) |
Enumeration Date | 2022-11-16 |
Last Update Date | 2025-05-07 |