| NPI | 1245741818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.012707) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178.013367) |
| 101YP2500X Counselor, Professional (Licence: IL 178.013367) | |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2023-11-13 |