| NPI | 1457680795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IL 180.011552) |
| Additional Taxonomies | 101YS0200X Counselor School (Licence: IL 180.011552) |
| 101YM0800X Counselor Mental Health (Licence: IL 180.011552) | |
| 103TS0200X Psychologist School (Licence: IL 2187138) | |
| Enumeration Date | 2009-12-16 |
| Last Update Date | 2020-03-20 |