| NPI | 1720691967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.013143) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180.013143) |
| 101YM0800X Counselor, Mental Health (Licence: IL 178.007828) | |
| 101YS0200X Counselor, School (Licence: IL 1044213) | |
| Enumeration Date | 2020-08-27 |
| Last Update Date | 2021-03-03 |