NPI | 1487089041 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.016410) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 265707) |
101YP2500X Counselor, Professional (Licence: IL 178.006892) | |
Enumeration Date | 2013-09-13 |
Last Update Date | 2024-10-18 |