| NPI | 1790400869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.016523) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 11695-125) |
| 101YP2500X Counselor, Professional (Licence: WI 11695-125) | |
| 101YP2500X Counselor, Professional (Licence: IL 180.016523) | |
| Enumeration Date | 2022-10-11 |
| Last Update Date | 2025-05-20 |