NPI | 1023438066 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180010798) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178007028) |
Enumeration Date | 2014-04-17 |
Last Update Date | 2024-03-25 |