NPI | 1275102253 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.015792) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.016951) |
Enumeration Date | 2021-06-23 |
Last Update Date | 2024-02-26 |