NPI | 1194194332 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.012005) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC005092) |
101YM0800X Counselor, Mental Health (Licence: IL 178.012927) | |
101YM0800X Counselor, Mental Health (Licence: IL 180.012005) | |
Enumeration Date | 2015-09-17 |
Last Update Date | 2020-10-20 |