| NPI | 1538815675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180016013) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.017662) |
| 101YP2500X Counselor, Professional (Licence: IL 180.016013) | |
| Enumeration Date | 2022-02-28 |
| Last Update Date | 2025-01-25 |