NPI | 1558730275 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180008961) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180008961) |
Enumeration Date | 2015-09-23 |
Last Update Date | 2022-11-02 |