| NPI | 1972988772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.014726) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180.014726) |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2026-08-03 |