| NPI | 1194280008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.014464) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178.014584) |
| 101Y00000X Counselor (Licence: IL 180.014464) | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2023-11-13 |