| NPI | 1487837126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IL 180.015867) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180.015867) |
| 101YP2500X Counselor, Professional (Licence: WI 7418-125) | |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2024-04-13 |