| NPI | 1467062356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.014284) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.015753) |
| 101YM0800X Counselor, Mental Health (Licence: WI 11033125) | |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2024-05-07 |