| NPI | 1003586884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2025053494) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180.016840) |
| 101YM0800X Counselor, Mental Health (Licence: MO 2025053494) | |
| 101YP2500X Counselor, Professional (Licence: IL 180.016840) | |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2026-05-21 |