| NPI | 1033434238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180-004116) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 2514160115) |
| 101YP2500X Counselor, Professional (Licence: MI 2514160115) | |
| 101YP2500X Counselor, Professional (Licence: IL 180-004116) | |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2025-01-20 |