NPI | 1407515919 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.015348) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.016294) |
Enumeration Date | 2021-12-12 |
Last Update Date | 2023-07-11 |