| NPI | 1851832604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 178012115) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180012535) |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2020-08-03 |