| NPI | 1508269986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.011421) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.00964) |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2024-11-20 |