| NPI | 1487901211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.008693) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0017614) |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2026-02-27 |