| NPI | 1831522499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180009339) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH27041) |
| 101YP2500X Counselor, Professional (Licence: AL LPC05669) | |
| Enumeration Date | 2013-08-17 |
| Last Update Date | 2025-12-22 |