| NPI | 1174237739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.014249) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2024010513) |
| 101YP2500X Counselor, Professional (Licence: IL 180014249) | |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2025-09-02 |