| NPI | 1962221077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180017976) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.020641) |
| Enumeration Date | 2024-10-07 |
| Last Update Date | 2026-07-01 |