| NPI | 1326275215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.007522) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: IL 2246885) |
| 101Y00000X Counselor | |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional (Licence: IL 178.004505) | |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2018-02-20 |