NPI | 1144345422 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC011825) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180001607) |
Enumeration Date | 2007-03-19 |
Last Update Date | 2023-08-23 |