| NPI | 1609378835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178.011689) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178011689) |
| 101YM0800X Counselor, Mental Health (Licence: IL 178011689) | |
| Enumeration Date | 2018-03-03 |
| Last Update Date | 2018-03-03 |