| NPI | 1568684082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL LCPC-180-004522) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180-004522) |
| 101YP2500X Counselor, Professional (Licence: AZ LPC-14534) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2014-02-25 |