| NPI | 1932354800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2007034624) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: MO 2007034624) | |
| 101YP2500X Counselor, Professional (Licence: IL 180.003290) | |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2020-05-19 |