| NPI | 1831300474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IL 180.009623) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 180009623) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2025-08-12 |