| NPI | 1932607405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180012102) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180.012102) |
| 101YP2500X Counselor, Professional (Licence: IL 178.011352) | |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2021-01-06 |