| NPI | 1922142355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WI 5646) |
| 101YM0800X Counselor Mental Health (Licence: IL 178.002173) | |
| 101YP2500X Counselor Professional (Licence: WI 5646) | |
| 101YS0200X Counselor School (Licence: IL 1776001) | |
| Enumeration Date | 2007-02-18 |
| Last Update Date | 2019-10-24 |