| NPI | 1336736552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.018224) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 101Y00000X Counselor (Licence: IL 178018184) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2020-12-22 |
| Last Update Date | 2026-10-01 |