NPI | 1093006637 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180007152) |
Additional Taxonomies | 101Y00000X Counselor (Licence: IL 180007152) |
101YM0800X Counselor, Mental Health (Licence: IL 180007152) | |
Enumeration Date | 2011-05-01 |
Last Update Date | 2011-05-01 |