| NPI | 1891228920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.011665) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.012084) |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2022-05-10 |