| NPI | 1912503731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IL 178010947) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178010947) |
| 101YP2500X Counselor, Professional (Licence: IL 178010947) | |
| 101YS0200X Counselor, School (Licence: IL 178010947) | |
| Enumeration Date | 2020-12-07 |
| Last Update Date | 2020-12-07 |