| NPI | 1033340203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.008359) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180.008359) |
| 101YP2500X Counselor, Professional (Licence: IL 178.007110) | |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2023-11-13 |