NPI | 1376045583 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180011507) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178012309) |
Enumeration Date | 2018-03-03 |
Last Update Date | 2020-06-18 |