| NPI | 1487089041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.016410) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 265707) |
| 101YP2500X Counselor, Professional (Licence: IL 178.006892) | |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2024-10-18 |