| NPI | 1487155958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0017072) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: IL 180.012834) | |
| 101YM0800X Counselor, Mental Health (Licence: CO LPC.0017072) | |
| 101YP2500X Counselor, Professional (Licence: IL 180.012834) | |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2022-05-23 |