| NPI | 1548394885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180006999) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178004405) |
| 101YM0800X Counselor, Mental Health (Licence: IL 180006999) | |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2010-04-19 |