NPI | 1407152598 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 8764) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.006959) |
101YP2500X Counselor, Professional (Licence: IL 180.009424) | |
Enumeration Date | 2011-02-07 |
Last Update Date | 2023-03-24 |