| NPI | 1588227300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180.013713) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IL 178.014088) |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2022-03-22 |