| NPI | 1649935222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180-016416) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178.017272) |
| 101YM0800X Counselor, Mental Health (Licence: IL 178.017272) | |
| Enumeration Date | 2021-11-08 |
| Last Update Date | 2024-10-25 |