NPI | 1376007344 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180011822) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180011822) |
Enumeration Date | 2019-01-24 |
Last Update Date | 2022-07-15 |