| NPI | 1932866878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.017049) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178017501) |
| Enumeration Date | 2021-11-28 |
| Last Update Date | 2025-08-22 |