| NPI | 1003335076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.014972) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.013919) |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2025-01-23 |