| NPI | 1699299586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IL 180.014460) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 180.014460) |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2022-12-05 |