| NPI | 1538288212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180.007951) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 180.007951) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2024-08-02 |