NPI | 1417653254 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178010686) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180015408) |
Enumeration Date | 2023-02-02 |
Last Update Date | 2023-08-18 |