| NPI | 1831766419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180.014665) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IL 180014665) |
| 101YP2500X Counselor Professional (Licence: IL 178.014808) | |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2024-03-30 |