| NPI | 1548883390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178.016784) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0017610) |
| 101YP2500X Counselor, Professional (Licence: IL 180.016352) | |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2024-09-09 |