| NPI | 1700139151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 240497) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.011013) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2025-07-28 |