NPI | 1457023137 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.015769) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180.015769) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2021-10-01 |
Last Update Date | 2024-04-09 |