| NPI | 1114135324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.012879) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: SC LPCI #4985) |
| 101YP1600X Counselor, Pastoral (Licence: NC Associate #66) | |
| 101YP1600X Counselor, Pastoral (Licence: SC LPC 5356) | |
| 101YP2500X Counselor, Professional (Licence: SC LPC 5356) | |
| Enumeration Date | 2007-05-19 |
| Last Update Date | 2020-10-30 |