NPI | 1265190854 |
---|---|
Other Name | CHRISTY WANG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180014870) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178011192) |
Enumeration Date | 2021-12-01 |
Last Update Date | 2023-06-28 |