| NPI | 1801463104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 166.001675) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178016782) |
| 106H00000X Marriage & Family Therapist (Licence: IL 178016782) | |
| Enumeration Date | 2021-06-07 |
| Last Update Date | 2025-06-25 |