| NPI | 1548642895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IA 077211) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 077211) |
| 101YP2500X Counselor, Professional (Licence: IL 180009343) | |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2023-09-05 |