| NPI | 1376318972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.015012) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.015012) |
| 101Y00000X Counselor (Licence: IL 180.015012) | |
| Enumeration Date | 2023-11-24 |
| Last Update Date | 2024-08-07 |