| NPI | 1871246967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 2022040559) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178.017759) |
| 101YP2500X Counselor, Professional (Licence: MO 2022040559) | |
| Enumeration Date | 2022-01-31 |
| Last Update Date | 2024-02-21 |