| NPI | 1033249107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180-005374) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180-005374) |
| 101YM0800X Counselor, Mental Health (Licence: IN 39003527A) | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2022-12-29 |