NPI | 1518471960 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180015052) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178012653) |
101YM0800X Counselor, Mental Health (Licence: IL 180015052) | |
101YP2500X Counselor, Professional (Licence: IL 178012653) | |
171M00000X Case Manager/Care Coordinator (Licence: 178012653) | |
Enumeration Date | 2017-11-21 |
Last Update Date | 2023-04-11 |