| NPI | 1972967206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH24971) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.004394) |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2025-02-05 |