| NPI | 1558668681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.010567) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 6132-125) |
| Enumeration Date | 2011-02-25 |
| Last Update Date | 2024-08-02 |