| NPI | 1639290042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: IL 180008063) | |
| 101YP2500X Counselor, Professional (Licence: IL 180008063) | |
| 101YP2500X Counselor, Professional (Licence: CO 0011622) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2016-04-17 |