| NPI | 1073939484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 12252) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 12252) |
| 101YP2500X Counselor, Professional (Licence: IL 180.009627) | |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2018-09-19 |