| NPI | 1154552420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180008038) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178006166) |
| 101YS0200X Counselor, School (Licence: IL 2348999) | |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2022-10-18 |