| NPI | 1841942299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 10343-125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178-018100) |
| Enumeration Date | 2022-01-26 |
| Last Update Date | 2025-01-15 |