NPI | 1376634394 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180004035) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 17077) |
101YP2500X Counselor, Professional (Licence: IL 180-004035) | |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2006-09-27 |
Last Update Date | 2010-02-25 |