| NPI | 1255801346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180013580) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IL 178.014252) |
| 101YM0800X Counselor Mental Health (Licence: IL 178014252) | |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2021-06-08 |