NPI | 1134732886 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180011580) |
Additional Taxonomies | 101Y00000X Counselor (Licence: IL 180011580) |
Enumeration Date | 2020-08-24 |
Last Update Date | 2023-10-02 |