| NPI | 1841646999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180012775) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180012775) |
| 101YP2500X Counselor, Professional (Licence: IL 180.012775) | |
| 101YP2500X Counselor, Professional (Licence: IL 178011299) | |
| Enumeration Date | 2016-05-08 |
| Last Update Date | 2023-03-25 |