| NPI | 1124617857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0017028) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.008715) |
| 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0017755) | |
| 101YP2500X Counselor, Professional (Licence: IL 180013473) | |
| Enumeration Date | 2021-01-17 |
| Last Update Date | 2022-10-18 |