| NPI | 1902172182 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180008136) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180.008136) | 
| Enumeration Date | 2012-04-01 | 
| Last Update Date | 2025-06-30 |