| NPI | 1417678509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 178.018322) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178.018322) |
| 101YP2500X Counselor, Professional (Licence: IL 178.018322) | |
| Enumeration Date | 2022-09-07 |
| Last Update Date | 2023-11-13 |