NPI | 1447630769 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.011057) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.010817) |
Enumeration Date | 2015-06-02 |
Last Update Date | 2017-08-18 |