NPI | 1437792835 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.015.138) |
Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178.014192) |
101YM0800X Counselor, Mental Health (Licence: IL 180015138) | |
Enumeration Date | 2019-10-18 |
Last Update Date | 2024-11-06 |