| NPI | 1871168666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.017518) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: IL 2419061) |
| Enumeration Date | 2021-05-24 |
| Last Update Date | 2025-09-20 |