| NPI | 1366050056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180.015770) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IL 178.016047) |
| Enumeration Date | 2020-07-19 |
| Last Update Date | 2024-04-10 |