| NPI | 1164902219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180012371) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: IL 2235576) |
| 101YM0800X Counselor, Mental Health (Licence: IL 178009491) | |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2021-09-24 |