| NPI | 1619405883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180010876) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 180.010867) |
| 101YM0800X Counselor, Mental Health (Licence: IL 180.010867) | |
| 101YP2500X Counselor, Professional (Licence: IL 180010876) | |
| 225700000X Massage Therapist (Licence: IL 227019139) | |
| 225700000X Massage Therapist (Licence: MO 2014040388) | |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2023-11-13 |