NPI | 1336878305 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.017278) |
Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178.017847) |
Enumeration Date | 2022-06-06 |
Last Update Date | 2025-07-08 |