NPI | 1306378732 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180014921) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178012885) |
Enumeration Date | 2017-04-03 |
Last Update Date | 2024-03-29 |