| NPI | 1902447469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180015525) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 225200000X Physical Therapy Assistant | |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2026-06-10 |