NPI | 1043680465 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.011986) |
Enumeration Date | 2015-09-28 |
Last Update Date | 2016-05-02 |