| NPI | 1154660355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180.009092) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IL 178008574) |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2015-07-29 |