| NPI | 1871906859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 178.009931) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180012035) |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2021-08-06 |