| NPI | 1679857577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IL 180.008107) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 178.006467) |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2024-05-02 |