| NPI | 1942571336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180013197) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180013197) |
| 101YP2500X Counselor, Professional (Licence: MO 2011036054) | |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2023-11-13 |