NPI | 1336554179 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180010472) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YP2500X Counselor, Professional (Licence: IL 178.010022) | |
Enumeration Date | 2014-06-30 |
Last Update Date | 2024-12-10 |