| NPI | 1922752484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.017589) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.018101) |
| Enumeration Date | 2022-02-03 |
| Last Update Date | 2025-10-29 |