| NPI | 1669776720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.007683) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH22468) |
| 101YP2500X Counselor, Professional (Licence: MO 2010021564) | |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2023-08-03 |