| NPI | 1003433715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401222799) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178015896) |
| 101YP2500X Counselor, Professional (Licence: IL 178015896) | |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2025-06-24 |