NPI | 1558668681 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.010567) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 6132-125) |
Enumeration Date | 2011-02-25 |
Last Update Date | 2024-08-02 |