| NPI | 1902209380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180.012861) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional (Licence: IL 178014858) | |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2022-03-01 |