| NPI | 1164902219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180012371) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IL 178009491) |
| 101YS0200X Counselor School (Licence: IL 2235576) | |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2025-04-10 |