| NPI | 1407152598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 8764) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.006959) |
| 101YP2500X Counselor, Professional (Licence: IL 180.009424) | |
| Enumeration Date | 2011-02-07 |
| Last Update Date | 2023-03-24 |