| NPI | 1710407317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IL 180015511) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 301-748) |
| 101YM0800X Counselor Mental Health (Licence: IN 39005291) | |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2025-06-27 |