NPI | 1033559273 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.008951) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.007894) |
101YM0800X Counselor, Mental Health (Licence: IL 180008951) | |
Enumeration Date | 2013-07-02 |
Last Update Date | 2021-03-06 |