| NPI | 1841896123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180015411) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178016356) |
| Enumeration Date | 2020-12-10 |
| Last Update Date | 2023-07-31 |