| NPI | 1205457959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IL 180.014038) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional (Licence: IL 178.014983) | |
| 163W00000X Registered Nurse (Licence: IL 041.276067) | |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2023-01-05 |