| NPI | 1396433066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178.019044) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178.019044) |
| 101YM0800X Counselor, Mental Health (Licence: IL 178.019044) | |
| 103T00000X Psychologist (Licence: IL 178.019044) | |
| 103TC0700X Psychologist, Clinical (Licence: IL 178.019044) | |
| 103TC1900X Psychologist, Counseling (Licence: IL 178.019044) | |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2023-05-01 |