| NPI | 1093266090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: 180.011680) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IL 178.012231) |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2021-07-08 |