| NPI | 1669606901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IL 180.007389) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IL 178.005343) |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2023-03-30 |