NPI | 1194376301 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 178015197) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180.016126) |
Enumeration Date | 2019-09-28 |
Last Update Date | 2025-04-04 |