NPI | 1144767161 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 178.012006) |
Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: IL 00119046) |
Enumeration Date | 2017-01-28 |
Last Update Date | 2017-01-28 |