| NPI | 1821691882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225C00000X Rehabilitation Counselor (Licence: IL 488670) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 488670) |
| 101YM0800X Counselor, Mental Health (Licence: IL 488670) | |
| 101YP2500X Counselor, Professional (Licence: IL 488670) | |
| Enumeration Date | 2020-11-20 |
| Last Update Date | 2020-11-20 |