| NPI | 1417675885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180016566) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178018282) |
| 101YP2500X Counselor, Professional (Licence: IL 178018282) | |
| Enumeration Date | 2022-08-22 |
| Last Update Date | 2024-11-15 |