| NPI | 1629599238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178.013336) |
| 101YM0800X Counselor Mental Health (Licence: IL 178.013336) | |
| 101YP2500X Counselor Professional (Licence: MO 2017013015) | |
| 101YP2500X Counselor Professional (Licence: MO 180.012982) | |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2023-08-04 |