| NPI | 1952737504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180.011773) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IL 180.011773) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-09-15 |
| Last Update Date | 2021-01-07 |