| NPI | 1538977269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 178.021114) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: IL 178.021114) |
| Enumeration Date | 2024-12-27 |
| Last Update Date | 2026-04-20 |