NPI | 1295278760 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180012233) |
Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178012467) |
Enumeration Date | 2016-11-30 |
Last Update Date | 2019-07-16 |