| NPI | 1720564701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 84322) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178013743) |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2021-08-23 |