| NPI | 1164735346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180-007578) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178006611) |
| 101YM0800X Counselor, Mental Health (Licence: IL 178006611) | |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2023-01-27 |