NPI | 1295281608 |
---|---|
Other Name | JOAN LOUISE FEFFERMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.011604) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 34407) |
101Y00000X Counselor (Licence: IL 180.011604) | |
Enumeration Date | 2016-08-27 |
Last Update Date | 2023-12-22 |