| NPI | 1659786325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.008882) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180.008882) |
| Enumeration Date | 2014-06-21 |
| Last Update Date | 2018-04-20 |