| 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) |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2021-08-17 |