NPI | 1144553793 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180-004142) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180-004142) |
Enumeration Date | 2009-09-15 |
Last Update Date | 2025-03-12 |