| NPI | 1902487945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 178.014638) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180.013693) |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2021-10-22 |