| NPI | 1205913191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180.006792) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IL 180.006792) |
| 101Y00000X Counselor (Licence: IL 180.006792) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-11-08 |