| NPI | 1538529961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180.010423) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IL 178.006718) |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2023-07-16 |