| NPI | 1538484969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CT 46.006046) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IL 180.007409) |
| 101YM0800X Counselor Mental Health (Licence: CT 46.006046) | |
| 101YP2500X Counselor Professional (Licence: IL 180.007409) | |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2023-12-03 |