| NPI | 1891412854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 178.017340) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 141407) |
| Enumeration Date | 2022-10-20 |
| Last Update Date | 2026-10-06 |