| NPI | 1467197129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225C00000X Rehabilitation Counselor (Licence: IL 373285) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180014627) |
| 101YP2500X Counselor, Professional (Licence: IL 178.015298) | |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2023-02-23 |