| NPI | 1396200861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.014810) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH27350) |
| 101YP2500X Counselor, Professional (Licence: IL 178.014597) | |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2026-03-03 |