NPI | 1225324965 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.005999) |
Enumeration Date | 2011-06-21 |
Last Update Date | 2013-09-24 |