| NPI | 1972141950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 178.015553) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178.015553) |
| 101YP2500X Counselor, Professional (Licence: IL 178.015553) | |
| Enumeration Date | 2019-12-20 |
| Last Update Date | 2020-01-13 |