NPI | 1316281777 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180010232) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178008478) |
246QM0706X Spec/Tech, Pathology, Medical Technologist (Licence: IL 145265) | |
Enumeration Date | 2012-11-24 |
Last Update Date | 2016-05-07 |