| NPI | 1912894726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.017279) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AL LPC05553) |
| Enumeration Date | 2025-06-23 |
| Last Update Date | 2025-06-23 |