NPI | 1154660355 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.009092) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178008574) |
Enumeration Date | 2013-02-07 |
Last Update Date | 2015-07-29 |