NPI | 1578174447 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180013830) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
101YP2500X Counselor, Professional (Licence: IL 178014365) | |
Enumeration Date | 2020-08-13 |
Last Update Date | 2024-09-26 |