NPI | 1174932057 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180010272) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.010047) |
Enumeration Date | 2014-08-05 |
Last Update Date | 2022-07-21 |