| NPI | 1679078612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.013687) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.014729) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2024-03-30 |