NPI | 1134351554 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 00079107) |
101YP2500X Counselor, Professional (Licence: LA CI 4098) | |
Enumeration Date | 2009-08-18 |
Last Update Date | 2025-05-28 |