| NPI | 1346757622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CCMH0221301) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: IL 00116497) |
| 101YP2500X Counselor, Professional (Licence: IL 180009726) | |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2025-09-26 |