NPI | 1275080293 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 12080) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.011231) |
Enumeration Date | 2016-09-07 |
Last Update Date | 2025-02-10 |