| NPI | 1790217966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.008492) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 180.008492) |
| 101YM0800X Counselor, Mental Health (Licence: IL 180.008492) | |
| 101YS0200X Counselor, School (Licence: IL 180.008492) | |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2017-03-28 |