| NPI | 1164823449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.010914) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178.010157) |
| 101YM0800X Counselor, Mental Health (Licence: IL 178.010157) | |
| 101YP2500X Counselor, Professional | |
| 101YP2500X Counselor, Professional (Licence: IL 178.010157) | |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2021-11-29 |