| NPI | 1962911883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IL 178.010380) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.010380) |
| 101YS0200X Counselor, School (Licence: IL 2579450) | |
| 101YM0800X Counselor, Mental Health (Licence: IL 178.010380) | |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2017-09-22 |