| NPI | 1316326036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 072145) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.010927) |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2024-04-03 |