| NPI | 1467928192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178.014115) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0018170) |
| Enumeration Date | 2018-10-20 |
| Last Update Date | 2024-08-19 |