| NPI | 1942764964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180013553) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.012904) |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2024-01-04 |