| NPI | 1649616624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.012153) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.010448) |
| 101YP2500X Counselor, Professional (Licence: TX 82072) | |
| 101Y00000X Counselor (Licence: IL 180.012153) | |
| 101Y00000X Counselor (Licence: IL 178.010448) | |
| 101Y00000X Counselor (Licence: TX 82072) | |
| 101YM0800X Counselor, Mental Health (Licence: IL 180.012153) | |
| 101YM0800X Counselor, Mental Health (Licence: TX 82072) | |
| 101YM0800X Counselor, Mental Health (Licence: IL 178.010448) | |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2021-03-26 |