| NPI | 1730426446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180.008911) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IL 180.008911) |
| 101YP2500X Counselor Professional (Licence: IL 178.008031) | |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2022-09-30 |