| NPI | 1992158638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.012914) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178012153) |
| 101YP2500X Counselor, Professional (Licence: IL 178012153) | |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2020-05-30 |