| NPI | 1821518259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 8021-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.013047) |
| 101YP2500X Counselor, Professional (Licence: IL 180.012581) | |
| 101YP2500X Counselor, Professional (Licence: IL 180012581) | |
| 101YP2500X Counselor, Professional (Licence: GA LPC012948) | |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2023-03-20 |