| NPI | 1427633155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.013109) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0021329) |
| Enumeration Date | 2021-03-15 |
| Last Update Date | 2025-03-10 |