NPI | 1255773099 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180012521) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.011250) |
Enumeration Date | 2013-07-22 |
Last Update Date | 2024-01-17 |