| NPI | 1154576452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.007398) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180.007398) |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2024-04-19 |