| NPI | 1932773223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180.006157) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IL 180.006157) |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2021-05-19 |