| NPI | 1891438008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.014520) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.015899) |
| Enumeration Date | 2022-04-15 |
| Last Update Date | 2022-06-16 |