| NPI | 1043434061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180-002794) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 180-002794) |
| 101YM0800X Counselor, Mental Health (Licence: IL 180-002794) | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-04-04 |