| NPI | 1356057517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 178.018716) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178.018716) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2023-02-16 |