| NPI | 1922335793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C9563) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180015368) |
| Enumeration Date | 2009-11-15 |
| Last Update Date | 2025-04-11 |